LICE AWAY TODAY LLC (NPI# 1205376415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205376415 |
| Entity Type | Organization |
| Organization Name | LICE AWAY TODAY LLC |
| Practice Address |
4308 W El Prado Blvd Tampa FL 33629-8405 |
| Practice Telephone | 8134104860 |
| Mailing Telephone | 8134104860 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MICHELLE CHERRY (MANAGING PARTNER) |
| Authorized Official Telephone | 8134104860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4308 W EL PRADO BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883026 | Lice Clinics of America Dade County | Perfusionist | 175 Fontainebleau Blvd Ste 1h, Miami, FL 33172-7012 | 2019-04-17 |
| 1942778527 | Patrick Thomas Davis | Perfusionist | 307 Burnt Pine Dr, Naples, FL 34119-9775 | 2018-11-13 |
| 1124493226 | Franco Mora | Perfusionist | 1753 Sw 13th St, Unit # 4, Coral Gables, FL 33145-1477 | 2015-12-01 |
| 1215300454 | Ranie-ann Dominique Brown | Perfusionist | 3221 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 | 2015-11-10 |
| 1386021939 | John M Ingram Jr. | Perfusionist | 9632 Nw 7th Cir, Apt 1718, Plantation, FL 33324-7533 | 2015-05-04 |
| 1568878148 | Kenneth Mattson | Perfusionist | 1764 Scarlett Ave, North Port, FL 34289-9476 | 2014-07-03 |
| 1477967941 | Tunisia Ellis Penta | Perfusionist | 5801 Mango Cir, Naples, FL 34110-3403 | 2014-06-12 |
| 1720491012 | Shawn Phillips | Perfusionist | 17080 Safety St, Suite 109, Fort Myers, FL 33908-7506 | 2014-06-04 |
| 1669607131 | Hamandi Corporation | Perfusionist | 8813 Pinto Drive, Lake Worth, FL 33467 | 2009-05-27 |
| 1255802740 | Justin Kermit James Saffle | Perfusionist | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.